If you participate with another Plan, please submit claims directly to that Plan for processing.

Claims processing

Once we receive your claims, we will electronically route them to the out-of-state Blue Cross Blue Shield Plan that will process the claim according to each member's contract. They will transmit the claim information to us, which will be included on your Provider Check Voucher. Please make sure that you are submitting the claims with the appropriate alpha prefixes.

Utilization review

Your Blue Cross and Blue Shield patients are responsible for obtaining pre-certification and preauthorization for services as defined by their contracts.

Connect with us

This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not the Health Insurance Marketplace website. This website does not display all Qualified Health Plans available through the Health Insurance Marketplace website. To see all available Qualified Health Plan options, go to the Health Insurance Marketplace website at